Health related quality of life and manual ability 5 years after neonatal ischemic stroke

To investigate health-related quality of life (HRQOL) and manual ability five years after neonatal arterial ischemic stroke (NAIS). Data was prospectively obtained by the Swiss Neuropaediatric Stroke Registry between 2000 and 2010. Two years after NAIS, cognitive and motor outcomes was assessed usin...

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Veröffentlicht in:European journal of paediatric neurology 2019-09, Vol.23 (5), p.716-722
Hauptverfasser: Caspar-Teuscher, Miriam, Studer, Martina, Regényi, Maria, Steinlin, Maja, Grunt, Sebastian, Bigi, Sandra, Mori, Andrea Capone, Datta, Alexandre, Fluss, Joel, Hackenberg, Annette, Keller, Elmar, Maier, Oliver, Mercati, Danielle, Marcoz, Jean-Pierre, Poloni, Claudia, Ramelli, Gian-Paolo, Schmid, R., Schmitt-Mechelke, T.
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container_issue 5
container_start_page 716
container_title European journal of paediatric neurology
container_volume 23
creator Caspar-Teuscher, Miriam
Studer, Martina
Regényi, Maria
Steinlin, Maja
Grunt, Sebastian
Bigi, Sandra
Mori, Andrea Capone
Datta, Alexandre
Fluss, Joel
Hackenberg, Annette
Keller, Elmar
Maier, Oliver
Mercati, Danielle
Marcoz, Jean-Pierre
Poloni, Claudia
Ramelli, Gian-Paolo
Schmid, R.
Schmitt-Mechelke, T.
description To investigate health-related quality of life (HRQOL) and manual ability five years after neonatal arterial ischemic stroke (NAIS). Data was prospectively obtained by the Swiss Neuropaediatric Stroke Registry between 2000 and 2010. Two years after NAIS, cognitive and motor outcomes was assessed using the Bayley Scales of Infant Development (BSID-II). After 5 years, HRQOL was assessed with the KIDSCREEN-27 and manual ability with the ABILHAND-Kids. Manual ability and HRQOL were compared between children with and without cerebral palsy (CP) and HRQOL was correlated with manual ability. Seventy-four patients were examined at the age of 2 years, at the age of 5 years 61 patients underwent a follow-up examination. Two years after NAIS, 29 children (39.1%) were diagnosed with CP. HRQOL 5 years after NAIS was comparable to normative values. Children with CP had a significantly lower HRQOL-index (p = 0.013) and lower scores in the subscale psychological well-being (p = 0.012) and social support & peers (p = 0.048). The ABILHAND-Kids measure was significantly lower in children with CP compared to children without CP (p 
doi_str_mv 10.1016/j.ejpn.2019.08.002
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Data was prospectively obtained by the Swiss Neuropaediatric Stroke Registry between 2000 and 2010. Two years after NAIS, cognitive and motor outcomes was assessed using the Bayley Scales of Infant Development (BSID-II). After 5 years, HRQOL was assessed with the KIDSCREEN-27 and manual ability with the ABILHAND-Kids. Manual ability and HRQOL were compared between children with and without cerebral palsy (CP) and HRQOL was correlated with manual ability. Seventy-four patients were examined at the age of 2 years, at the age of 5 years 61 patients underwent a follow-up examination. Two years after NAIS, 29 children (39.1%) were diagnosed with CP. HRQOL 5 years after NAIS was comparable to normative values. Children with CP had a significantly lower HRQOL-index (p = 0.013) and lower scores in the subscale psychological well-being (p = 0.012) and social support &amp; peers (p = 0.048). The ABILHAND-Kids measure was significantly lower in children with CP compared to children without CP (p &lt; 0.001). Manual ability correlated significantly with HRQOL. Five years after NAIS, HRQOL is comparable to that of typically developing peers, but reduced in children with CP. Poorer manual ability is associated with lower HRQOL. Interventions improving hand function might influence HRQOL and should be considered early on. •HRQOL in NAIS survivors and typically developing peers is comparable.•NAIS survivors with motor impairments have reduced HRQOL.•Manual ability predicts HRQOL in NAIS survivors.•Early assessment of manual abilities and timely interventions are crucial.</description><identifier>ISSN: 1090-3798</identifier><identifier>EISSN: 1532-2130</identifier><identifier>DOI: 10.1016/j.ejpn.2019.08.002</identifier><identifier>PMID: 31473077</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Brain Ischemia - complications ; Cerebral palsy ; Cerebral Palsy - etiology ; Child ; Child, Preschool ; Female ; Hemiparesis ; Humans ; Infant ; Infant, Newborn ; Male ; Manual ability ; Neonatal arterial ischemic stroke ; Quality of Life ; Recovery of Function ; Stroke - complications</subject><ispartof>European journal of paediatric neurology, 2019-09, Vol.23 (5), p.716-722</ispartof><rights>2019 European Paediatric Neurology Society</rights><rights>Copyright © 2019 European Paediatric Neurology Society. 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Interventions improving hand function might influence HRQOL and should be considered early on. •HRQOL in NAIS survivors and typically developing peers is comparable.•NAIS survivors with motor impairments have reduced HRQOL.•Manual ability predicts HRQOL in NAIS survivors.•Early assessment of manual abilities and timely interventions are crucial.</description><subject>Brain Ischemia - complications</subject><subject>Cerebral palsy</subject><subject>Cerebral Palsy - etiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Hemiparesis</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Manual ability</subject><subject>Neonatal arterial ischemic stroke</subject><subject>Quality of Life</subject><subject>Recovery of Function</subject><subject>Stroke - complications</subject><issn>1090-3798</issn><issn>1532-2130</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1vFDEMhiMEol_8AQ4oRy4zOM7MzkTigipoK1XiAlJvkSfxqFnmY5tkkfbfk2Vbjpxs2a9fvX6EeK-gVqA2n7Y1b3dLjaBMDX0NgK_EuWo1Vqg0vC49GKh0Z_ozcZHSFgBMg5u34kyrptPQdefi4ZZpyo8y8kSZvXza0xTyQa6jnMLIkhYvZ1rKVNIQ_q5aeWCKSdKYOcqF14VyWYfkHnkOTqYc1198Jd6MNCV-91wvxc9vX39c31b332_urr_cV063m1y11CljFDrvRxpGxWZgDcDkGgLdIzt0xANiqX0LvtkQGNU6j55HblFfio8n311cn_acsp1LEp4mKsn2ySL2Go1S2BQpnqQurilFHu0uhpniwSqwR6J2a49E7ZGohd4WouXow7P_fpjZ_zt5QVgEn08CLl_-DhxtcoEXxz5Edtn6NfzP_w_ls4h1</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Caspar-Teuscher, Miriam</creator><creator>Studer, Martina</creator><creator>Regényi, Maria</creator><creator>Steinlin, Maja</creator><creator>Grunt, Sebastian</creator><creator>Bigi, Sandra</creator><creator>Mori, Andrea Capone</creator><creator>Datta, Alexandre</creator><creator>Fluss, Joel</creator><creator>Hackenberg, Annette</creator><creator>Keller, Elmar</creator><creator>Maier, Oliver</creator><creator>Mercati, Danielle</creator><creator>Marcoz, Jean-Pierre</creator><creator>Poloni, Claudia</creator><creator>Ramelli, Gian-Paolo</creator><creator>Schmid, R.</creator><creator>Schmitt-Mechelke, T.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201909</creationdate><title>Health related quality of life and manual ability 5 years after neonatal ischemic stroke</title><author>Caspar-Teuscher, Miriam ; 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Data was prospectively obtained by the Swiss Neuropaediatric Stroke Registry between 2000 and 2010. Two years after NAIS, cognitive and motor outcomes was assessed using the Bayley Scales of Infant Development (BSID-II). After 5 years, HRQOL was assessed with the KIDSCREEN-27 and manual ability with the ABILHAND-Kids. Manual ability and HRQOL were compared between children with and without cerebral palsy (CP) and HRQOL was correlated with manual ability. Seventy-four patients were examined at the age of 2 years, at the age of 5 years 61 patients underwent a follow-up examination. Two years after NAIS, 29 children (39.1%) were diagnosed with CP. HRQOL 5 years after NAIS was comparable to normative values. Children with CP had a significantly lower HRQOL-index (p = 0.013) and lower scores in the subscale psychological well-being (p = 0.012) and social support &amp; peers (p = 0.048). The ABILHAND-Kids measure was significantly lower in children with CP compared to children without CP (p &lt; 0.001). Manual ability correlated significantly with HRQOL. Five years after NAIS, HRQOL is comparable to that of typically developing peers, but reduced in children with CP. Poorer manual ability is associated with lower HRQOL. Interventions improving hand function might influence HRQOL and should be considered early on. •HRQOL in NAIS survivors and typically developing peers is comparable.•NAIS survivors with motor impairments have reduced HRQOL.•Manual ability predicts HRQOL in NAIS survivors.•Early assessment of manual abilities and timely interventions are crucial.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>31473077</pmid><doi>10.1016/j.ejpn.2019.08.002</doi><tpages>7</tpages></addata></record>
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subjects Brain Ischemia - complications
Cerebral palsy
Cerebral Palsy - etiology
Child
Child, Preschool
Female
Hemiparesis
Humans
Infant
Infant, Newborn
Male
Manual ability
Neonatal arterial ischemic stroke
Quality of Life
Recovery of Function
Stroke - complications
title Health related quality of life and manual ability 5 years after neonatal ischemic stroke
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